NPI 1689032914 · live from the CMS NPI Registry
Center For Life Management LLC
Counselor, Professional in Edmond, OK. National Provider Identifier 1689032914, active.
NPI record
| NPI | 1689032914 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 15804 Big Cypress Dr, Edmond, OK 73013 |
| Practice phone | 405-821-8182 |
| Enumerated | February 1, 2016 |
| Last updated | October 4, 2024 |
| Authorized official | Calvin Smith, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 5055 (OK) |
| Counselor, Mental Health | 101YM0800X | 5055 (OK) |
| Counselor, Pastoral | 101YP1600X | 5055 (OK) |
| Counselor, Professional primary | 101YP2500X | 5055 (OK) |
| Counselor, School | 101YS0200X | 5055 (OK) |
| Behavior Analyst | 103K00000X | 5055 (OK) |
| Marriage & Family Therapist | 106H00000X | 5055 (OK) |
| Case Management | 251B00000X | 5055 (OK) |
| Community/Behavioral Health | 251S00000X | 5055 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.